| NPI | 1902416969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD28603) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 8403-851) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 77655-20) | |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2025-07-24 |